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Banisha Evans, CPT LL

NPI 1780342675 · on the registry since 2021 · sole proprietor

Practice

Address
8674 Nemea Way
Elk Grove, CA 95624
Phone
(510) 859-6555

Registry record

Primary taxonomy
202K00000X
202K00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-12-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California